Form PRO-06 Version 1.3
OFFER FORM ACTED LIBYA
Date:
Tender N°:
T/14CBJ/X40/FPA-TCO-VIS/TUNIS/27-04-2015/001
To be Filled by Bidder (COMPULSORY)
Details of Bidding Company:
1. Company Name:
(
)
2. Company Authorized Representative Name: (
)
3. Company Registration No:
)
(
No/Country/ Ministry
4. Company Specialization:
(
)
5. Mailing Address:
(
)
Country/Governorate./City/St name/Shop-Office No
a.
Contact Numbers:
(Land Line:
b.
E-mail Address:
(
/ Mobile No:
)
)
I undersigned ___________________________, agree to provide ACTED, non-profit NGO, with items answering the following specifications, according to the general conditions and
responsibilities that I engage myself to follow.
1
Form PRO-06 Version 1.3
PLEASE FILL IN THE FOLLOWING TABLE CORRESPONDING TO THE FOOD PACKAGE:
1. BATCH 1: Food Packages, first distribution (Each package content will need to be packed in 20 kg boxes (2 boxes for each package), mixed items, with logo of the
purchaser (ACTED) and the donor (ECHO))
No.
Item Specifications & product
stage
Total
Quantity
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Flour (wheat, all purpose)
Pasta, spaghetti
Semolina
Couscous
White Sugar
Cooking Oil
Rice
Dates
Tomato Paste
Black Tea
Coffee (moka)
Canned Tuna
Condensed Milk
Dried Chickpeas
Cardboard boxes
12.000
15.000
6.000
6.000
7.500
1.500
6.000
1.500
1.500
6.000
3.000
3.000
3.000
3.000
3.000
Measuring Unit
1
0,5
1
1
1
2
1
1
0,8
0,1
0,25
0,16
0,395
1
kg pack
kg pack
kg pack
kg pack
kg pack
l bottle
kg pack
kg pack
kg can
kg pack
kg pack
kg can
kg can
kg bag
Box
Units per
package
INCOTERM
8
10
4
4
5
1
4
1
1
4
2
2
2
2
2
DDP
DDP
DDP
DDP
DDP
DDP
DDP
DDP
DDP
DDP
DDP
DDP
DDP
DDP
DDP
Brand Name
Supplier’s Specification
(if different)
Unit Price
EUR
Total Price
EUR
Grand - Total
EUR
NOTA BENE: FINAL QUANTITIES MAY VARY OF UP TO +/- 10% BEFORE THE SIGNATURE OF THE CONTRACT, FOLLOWING THE CURRENT NEEDS OF BENEFICIARIES
BIDDER’S COMMENTS/REMARKS:
1.
2.
2
Form PRO-06 Version 1.3
2. BATCH 2: Food Items, Second Distribution (Each package content will need to be packed in 24 kg boxes (3 boxes for each package), mixed items, with logo of the
purchaser (ACTED) and the donor (ECHO))
No.
Item Specifications & product
stage
Total
Quantity
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Flour (wheat, all purpose)
Pasta, spaghetti
Semolina
Couscous
White Sugar
Cooking Oil
Rice
Dates
Tomato Paste
Black Tea
Coffee (moka)
Canned Tuna
Condensed Milk
Dried Chickpeas
Cardboard boxes
24.000
30.000
9.000
9.000
15.000
1.500
12.000
3.000
1.500
12.000
3.000
3.000
6.000
3.000
4.500
Measuring Unit
1
0,5
1
1
1
2
1
1
0,8
0,1
0,25
0,16
0,395
1
kg pack
kg pack
kg pack
kg pack
kg pack
l bottle
kg pack
kg pack
kg can
kg pack
kg pack
kg can
kg can
kg bag
Box
Units per
package
INCOTERM
16
20
6
6
10
1
8
2
1
8
2
2
4
2
3
DDP
DDP
DDP
DDP
DDP
DDP
DDP
DDP
DDP
DDP
DDP
DDP
DDP
DDP
DDP
Brand Name
Supplier’s Specification
(if different)
Unit Price
EUR
Total Price
EUR
Grand - Total
EUR
NOTA BENE: FINAL QUANTITIES MAY VARY OF UP TO +/- 10% BEFORE THE SIGNATURE OF THE CONTRACT, FOLLOWING THE CURRENT NEEDS OF BENEFICIARIES
BIDDER’S COMMENTS/REMARKS:
1.
2.
3
Form PRO-06 Version 1.3
Estimated delivery cost:
Batches
No.
1
2
Address of Warehouse of Destination
Guaranteed delivery
time
Total Transportation
cost (US$)
BADR, LIBYA
BADR, LIBYA
DELIVERY CONDITIONS GUARANTEED BY THE BIDDER:
................................................. Days for 50% of the items
................................................. Days for 100% of the items
BIDDER’S TERMS AND CONDITIONS:
1. Valid of the offer:
_______________________ (recommended: 1 month or more)
2. Terms of delivery:
_______________________
3. Terms of payment:
_______________________
Name of Bidder’s Authorized Representative: ________________________
Authorized signature and stamp:
Date:
________________________
________________________
4